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ABSTRACT The Brazilian coffee industry is undergoing a great transformation in order to serve a consumer market that is becoming increasingly demanding with regard to quality. Considering the multiple determinants of the final quality of the product, one must consider factors that are involved in steps from the pre-harvest stage to storage. The execution of the different stages according to good-practice programmes has repercussions on microbiological, physical and chemical characteristics, which in turn affect the quality of the final product with regard to sensorial properties and safety. There has been research progress in the improvement of quality evaluation techniques that minimize the subjective effects of traditional classification. It is also observed that socio-environmental aspects of coffee production, while not the subject of this review, have broadened the concept of quality since an increasing number of consumers are interested in aspects regarding agricultural sustainability in addition to strictly sensorial aspects.

CONTEXT AND OBJECTIVE: Knowledge of socioeconomic impact of attempted suicide may sensitize managers regarding prevention strategies. There are no published data on this in Brazil. The aim here was to describe the direct and indirect costs of care of hospitalized cases of attempted suicide and compare these with the costs of acute coronary syndrome cases.DESIGN AND SETTING: Cost-of-illness study at a public university hospital in Brazil.METHOD: The costs of care of 17 patients hospitalized due to attempted suicide were compared with those of 17 acute coronary syndrome cases at the same hospital, over the same period. The direct costs were the summation of the hospital and out-of-hospital costs resulting from the event, determined from the medical records. The indirect costs were estimated through the human capital lost. The Mann-Whitney test and analysis of covariance (ANCOVA) with transformation adjusted for age were used for comparisons.RESULTS: The average costs per episode of attempted suicide were: direct cost, US$ 6168.65; indirect cost, US$ 688.08; and total cost, US$ 7163.75. Comparative analysis showed a difference between the indirect costs to family members, with significantly higher costs in the attempted suicide group (P = 0.0022).CONCLUSION: The cost of care relating to attempted suicide is high and the indirect cost to family members reinforces the idea that suicidal behavior not only affects the individual but also his social environment.

Abstract Objectives: To determine the prevalence of physical inactivity among elderly individuals in the municipality of Viçosa, Minas Gerais and identify associated factors. Method: A cross-sectional population-based study of 621 elderly persons was conducted in Viçosa, Minas Gerais. The dependent variable was physical inactivity, defined by the question "Do you practice some kind of physical activity?" The definition of the term "physical activity" was restricted to activities performed regularly, for at least 20 minutes, three times a week, disregarding domestic, industrial and transportation activities. The independent variables were age; gender; education; self-rated health; functional capacity; history of diabetes, hypertension, dyslipidemia and osteoporosis; overweight; risk of metabolic disorders; smoking; number of medical appointments; history of hospitalizations in the last year and private health insurance. Descriptive analysis and multiple Poisson regression were used. Results: The prevalence of physical inactivity was 70.1% (95% CI: 66.0%-74.0%). The associated factors were the male gender, aged over 80 years, less educated, low functional capacity, smokes and did not have private health insurance. Conclusion: The high prevalence of physical inactivity and its associated factors indicate the need to develop systematic approaches to improve public policies directed at this age group.

Germination is a biological process that depends on adequate water supply to embryo development. Water deficit slows this process and depending on intensity and extent of this deficit may cause seed death. Nevertheless, it has not yet been reported whether seed size influences physiological potential, or tolerance to water stress. This study aimed at assessing the effects of seed size, as well as of water stress on germination of the seeds and on early soybean seedling development. The experiment was composed by seeds of 10 soybean cultivars classified by metallic screens with three sizes of oval holes (S12, S13 and S14) and subjected to three water potentials (0, -0.1, and -0.2 MPa), with four replications. Data on genotypes were grouped as replications and arranged on a factorial 3 x 3 (size x water potential), with 40 replications. Data assessed were: first and final count of germination; length and seedling dry weight; and correlation between length/mass of radicle and hypocotyl. It was concluded that under ideal moisture conditions larger seeds have better physiological quality, producing more vigorous seedlings; but, that under water potential of -0.2 MPa smaller seeds produce larger seedlings; and that the hypocotyl is more influenced by water stress than the radicle.

A imobilização celular representa uma alternativa para a condução de bioprocessos. As células ficam retidas em matrizes e podem ser utilizadas por longos períodos. O objetivo deste trabalho foi testar uma nova metodologia de imobilização de fungos com custo reduzido, avaliar a viabilidade e segurança dos fungos submetidos ao novo método de encapsulamento e determinar a temperatura ideal para armazenar os fungos imobilizados. Os micélios dos fungos Aspergillus niger, Cladosporium cladosporioidese Penicillium solitum foram misturados com 15 g de arroz triturado e 3 g de alginato de sódio, que gotejava em uma solução de cloreto de cálcio a 0,25 M para a formação dos grânulos. Após a secagem em estufa a 26ºC, os grânulos foram armazenados em temperaturas ambiente, geladeira e freezer. Os plaqueamentos foram realizados a cada 15 dias em meio de cultura. As avaliações do tamanho das colônias e esporulação foram realizadas 7, 14 e 21 dias após o plaqueamento, durante 195 dias para A. niger, 225 dias para C. cladosporioides e 210 dias para P. solitum. A temperatura de armazenamento não afetou o desenvolvimento micelial de A. nigere P. solitum. Porém, a esporulação foi reduzida para os grânulos armazenados no freezer. O desenvolvimento micelial de C. cladosporioides foi influenciado pela temperatura. Os grânulos conservados em temperatura ambiente tiveram menor viabilidade. Na análise de microscopia eletrônica de varredura, observou-se que a imobilização é um método seguro no qual o micélio fúngico permanece no interior do grânulo, facilitando o transporte, o armazenamento e a aplicação de micro-organismos.

En Colombia, tradicionalmente se ha visto la leishmaniosis como un problema de Salud Pública para hombres adultos dado que se considera que la transmisión es selvática y que ellos empiezan a infectarse cuando entran a los biotopos del vector con el fin de utilizar los recursos naturales. Sin embargo, el Programa de Estudio y Control de Enfermedades Tropicales (PECET) ha observado iguales proporciones de hombres y mujeres con leishmaniosis activa y pruebas cutáneas positivas. Algunos factores, hasta ahora nunca analizados, parecen distorsionar el patrón de la enfermedad y al parecer existen diferencias inherentes al género relacionadas con el acceso a la atención en salud. Como consecuencia, el sufrimiento humano no es aliviado y las repercusiones socio-económicas para las amas de casa son significativas. El Ministerio de Salud subestima la magnitud de la transmisión intra y peridomiciliaria y la detección de casos activos se descuida para mujeres, por lo cual se deben mejorar los programas de control de leishmaniosis, especialmente en lo relacionado con la detección de casos activos, entrenamiento y educación, de tal forma que el diagnóstico se realice en forma más rápida.

Resumen Se reconstruyó la situación de Córdoba (Argentina) en cuanto a tendencias sociodemográficas en el territorio en un escenario futuro tendencial a corto plazo, para definir las diferentes demandas de hábitat urbano actuales. Se combinaron variables demográfico/territoriales de información censal oficial, junto con variables de hábitos de vida y de consumo relevados de informes específicos realizados por consultoras públicas y privadas. Esto se complementó con un análisis sociológico basado en la revisión de bibliografía específica. Se detectaron procesos simultáneos de macrocefalia y contraurbanización, así como cambios en estructuras familiares y estilos de vida característicos de la dialéctica entre transición una condición demográfica avanzada y los procesos propios del neoliberalismo posmoderno actuales.

Physiological quality and vigor of the seeds comprise properties that determine a high level of activity and performance during germination and seedling emergence, having a direct relation with the establishment of the stand of a crop. In this context, the assessment of seedling development, including the analysis of the seed reserves mobilization are a reliable method to investigate the physiological potential of seed lots. In this preliminary study, the aim was to investigate the dynamics of seed reserves mobilization of a sample of soybean commercial cultivars. By means of the seedling length bioassay and weight of dry matter of seeds, cotyledons, hypocotyls and radicles, information on the reserves mobilization during the germination process was obtained. Data were subjected to analysis of variance and Scott and Knott test, and afterwards, phenotypic correlations between traits were obtained. The results have shown that the dry matter of seeds, reserves reduction of seeds and dry matter of seedlings are positively correlated, and thus, seeds containing more reserves may be more effective during the early development of seedlings. In contrast, reserve reduction of seeds and conversion efficiency of the seeds reserves in the dry matter of seedlings are negatively correlated.

As propagandas de medicamentos veiculadas nas principais rádios do Rio Grande do Sul, Brasil, foram analisadas no período de agosto de 1995 a janeiro de 1996. Durante o período de observação foram documentadas 250 peças publicitárias referentes a 28 produtos. A maioria destas propagandas (>80%) não apresenta declarações quanto ao nome genérico, à composição, à posologia e ao laboratório fabricante do produto, infringindo, dessa forma, a legislação vigente no país. Além disso, um número significativo das peças publicitárias (39%) enfatizam a ausência de quaisquer riscos, mediante declarações como "Não tem contra-indicações", caracterizando a indução ao uso indiscriminado. A análise mostra que os medicamentos são promovidos como produtos quaisquer, omitindo-se informações fundamentais a respeito de cuidados, reações adversas e contra-indicações.

Objective The health needs of older adults constitute challenges for health monitoring and care, resulting in increased costs. The present study therefore sought to analyze the health status of the elderly to enable targeting and intervention, in the pursuit of healthy aging for all. Method A quantitative observational cross-sectional study using a primary source was performed in 2012. A total of 4,248 adults aged over 60 years of age residing in the nine regions of Antioquia, Colombia, and the capital city were surveyed. Univariate, bivariate and multivariate analysis was performed of statistical and epidemiological measures, based on confidence intervals and statistical tests under 5%. Results One in four individuals had a risk of depression, one in three were at risk of anxiety, eight out of ten had cognitive impairment, mainly mild, and the same proportion were at nutritional risk. The elderly persons suffered from all types of abuse, notably psychological. Conclusions Thehealth status ofelderly personsis more affectedbymental than physical healthrisks, indicatingthatpublic policy anda better distribution ofresourcesshould be aimed at seeking animprovement in qualityof life anddignified aging, differentiated byregion.

ABSTRACT INTRODUCTION: Cutaneous leishmaniasis (CL) is a tropical disease that affects millions of individuals worldwide. The current drugs for CL may be effective but have serious side effects; hence, alternatives are urgently needed. Although plant-derived materials are used for the treatment of various diseases in 80% of the global population, the validation of these products is essential. Gelatin capsules containing dried Artemisia annua leaf powder were recently developed as a new herbal formulation (totum) for the oral treatment of malaria and other parasitic diseases. Here, we aimed to determine the usefulness of A. annua gel capsules in CL. METHODS: The antileishmanial activity and cytotoxicity of A. annua L. capsules was determined via in vitro and in vivo studies. Moreover, a preliminary evaluation of its therapeutic potential as antileishmanial treatment in humans was conducted in 2 patients with uncomplicated CL. RESULTS: Artemisia annua capsules showed moderate in vitro activity in amastigotes of Leishmania (Viannia) panamensis; no cytotoxicity in U-937 macrophages or genotoxicity in human lymphocytes was observed. Five of 6 (83.3%) hamsters treated with A. annua capsules (500mg/kg/day) for 30 days were cured, and the 2 examined patients were cured 45 days after initiation of treatment with 30g of A. annua capsules, without any adverse reactions. Both patients remained disease-free 26 and 24 months after treatment completion. CONCLUSION: Capsules of A. annua L. represent an effective treatment for uncomplicated CL, although further randomized controlled trials are needed to validate its efficacy and safety.

ABSTRACT Objective: To identify the knowledge produced on Medication-Related Problems in the transitional care of the elderly from hospital to home. Method: Integrative review of the literature data, organized in six stages: guiding question; establishment of inclusion and exclusion criteria; extraction of data; analyze; interpretation of results; and presentation of the review. Articles were considered among 2002 and 2017, in Portuguese, English, and Spanish, in the databases LILACS, MEDLINE, CINAHL and EMBASE. Results: 10 studies were selected and analyzed. They were categorized by subject and identified in three themes: Medication Discrepancy and Reconciliation (40%); Adhesion to Medication (30%); and Adverse Drug Events (30%). Final considerations: Drug-Related Problems in the transitional care of the elderly from hospital to home, were presented as a relevant theme for nursing, involving complex issues related to care. Drug reconciliation was evidenced as a coherent and effective strategy in home care transitions for the elderly.

ABSTRACT: The objective of the current research was to assess seroconversion in dogs immunized with Leishmune® and Leish Tec® vaccines using rapid chromatographic immunoassay DPP® (Dual Path Platform) (DPP CVL) and enzyme immunoassay (EIE) up to one year after the vaccination protocol. The study sample comprised 28 dogs divided into two groups, each group immunized with an anti-CVL vaccine and clinically monitored for one year through clinical evaluation and laboratory tests. 22 (78.5%) dog were monitored. During the evaluation time (T1-30 days, T2-6 months, and T3-1 year after vaccination) the results for all dogs were negative for CVL, except for one animal vaccinated with Leish tec® that seroconverted in the DPP CVL test at T2. Subsequent examinations of this dog were negative. Our results showed that in a non-endemic area, even at different evaluation times, dogs vaccinated against CVL with Leishmune® or Leish tec® did not seroconvert in the serological protocol used by the Brazilian Ministry of Health (DPP/EIE).

ABSTRACT Objectives: to assess the usability of an app prototype for diabetic foot self-care by an end user. Methods: a descriptive study that uses heuristic assessment of a hybrid app usability. Fifteen users of an outpatient diabetes care service in a capital of Northeastern Brazil participated in the study during April 2018. The usability measurement tool called Smartphone Usability questionnaiRE was applied. Results: the lowest score was 77 and the highest was 112, with an average usability of 96.1 points. Usability was framed in the last two levels, 70 and 8o. Users now strongly agree (level 70) and fully (level 80) with the assessed items, which represents good usability of the apps prototype. Conclusions: the final product developed focuses on user needs and requirements, which can ensure usability based on effectiveness, efficiency and satisfaction triad.